Partners Optical Supply Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3555 T1593 Issued in OH

Legal business name

PARTNERS OPTICAL SUPPLY INC

Practice address

159 E Main St
Ravenna, OH 44266-3128

Phone

(330) 297-7733

Fax

(330) 297-0170

NPI assigned

Feb 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aaron Alvie Moats, O.D.

Title

President

Phone

(330) 297-7733

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1194099093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663128",
            "telephone_number": "330-297-7733",
            "fax_number": "330-297-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663128",
            "telephone_number": "330-297-7733",
            "fax_number": "330-297-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS OPTICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MOATS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "ALVIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-297-7733",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3555 T1593",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "3555 T1593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Township Trustees
• Brittany Parker
• Kathryn Parker, RN, CNP
• Debra Parshall, PCC
• Judith L Parsons, PT
• Ronnie James Pascal
• Martha K Passek, CNP
• Rikesh Kiran Patel, D.O.
• Paths to Independence, Inc.
• Paths to Independence, Inc.

• Optometrist in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.